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Table 4 Barriers and Suggestions to the implementation of the digital health platform WelTel in East Africa

From: Evaluation of the implementation process of the mobile health platform ‘WelTel’ in six sites in East Africa and Canada using the modified consolidated framework for implementation research (mCFIR)

Phone accessibility
“Some of our homes don't have electricity” [Client – Maralal]
“Sometimes the system is affected by weak network in some selected areas. Some client might not have mobile phones.” [Policy Maker – Maralal]
“it is challenging if you are sharing your phone with somebody.” [Patient – Wamba]
Literacy
The illiterate are not confident because they don't know how to respond” [HCP – Maralal]
it become challenge to those that can read and understand.” [Client – Wamba]
Illiteracy level is the only challenge in the community around Wamba therefore confidence among some patients is low” [External Stakeholder – Wamba]
HCP training
“Needs more community health volunteers to be trained” [HCP – Maralal]
“We need to train other health workers and CHVs so that everybody can get information about
WelTel. More networks with the community” [HCP – Wamba]
Scale-up
Include other health departments like nutrition, Tuberculosis clinic, PNS” [HCP – Maralal]
“WelTel can be adapted in other areas of public health interventions. This includes outbreak
monitoring and control.” [Policy Maker – Maralal]
“Scale it up in areas that really need the services that is with high defaulter rates Think of ways to reduce operation costs in order to allow scale up. The intervention should complement other systems and work towards improving the health systems.” [External Stakeholder – Maralal]
“Communicating WelTel at a national level” [HCP – Rwanda]